| NPI | 1285909465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS12500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12500) |
| 208M00000X Hospitalist (Licence: AZ 009595) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-04-04 |