| NPI | 1396372603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS22758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 5081) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-04-09 |