| NPI | 1467983411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301508218) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 61036767) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-05-26 |