| NPI | 1447742556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021000958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-05511) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-04-03 |