| NPI | 1255996492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 13752236-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61267637) |
| 208M00000X Hospitalist (Licence: UT 13752236-8904) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2024-03-07 |