| NPI | 1386094894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 83414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 008264) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-01-08 |