| NPI | 1306366505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 93970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 00009459) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-08-04 |