| NPI | 1235666298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 95843) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 38192) |
| Enumeration Date | 2017-05-21 |
| Last Update Date | 2023-07-12 |