| NPI | 1306417027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 13814601-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP9021) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-03-22 |