| NPI | 1457845380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 328336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215812) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-03-30 |