| NPI | 1407207624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019024589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109822) |
| 207R00000X Internal Medicine (Licence: MO 2019024589) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-07-31 |