| NPI | 1407389034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 338121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 41085) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-07-27 |