| NPI | 1508539289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 83771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125078078) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-06-04 |