| NPI | 1265896278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 83851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71333) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-03-07 |