| NPI | 1376117036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-50721) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 36436) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-08-20 |