| NPI | 1396361952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 84504) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL84504) |
| 207R00000X Internal Medicine (Licence: SC LL84504) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-03-25 |