| NPI | 1336522531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI N68055-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 68055) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-03-05 |