| NPI | 1528440161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017041360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101278261) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-01-05 |