| NPI | 1437739315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS20519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS20519) |
| 208D00000X General Practice (Licence: FL OS20519) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-09-05 |