| NPI | 1427535020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 6105) |
| 207R00000X Internal Medicine (Licence: WI 75868) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-10-21 |