| NPI | 1487270229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 329624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022048704) |
| 208M00000X Hospitalist (Licence: MO 2022048704) | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2024-10-09 |