| NPI | 1326542135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS18881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116032263) |
| 207R00000X Internal Medicine (Licence: VA 0102206751) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-11-13 |