| NPI | 1285262923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS20138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL P220420884180) |
| 208M00000X Hospitalist (Licence: FL UO7402) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-06-07 |