| NPI | 1386209757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME156220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T8670) |
| 208M00000X Hospitalist (Licence: TX T8670) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-07-31 |