| NPI | 1518461110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 87574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 17926) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-08-22 |