| NPI | 1508344128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 15726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 328026) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-11-27 |