| NPI | 1376037119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 52480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52480) |
| 207R00000X Internal Medicine (Licence: SC LL52480) | |
| 208M00000X Hospitalist (Licence: SC 86389) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2021-08-17 |