| NPI | 1255941662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101278075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101278075) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2023-07-03 |