| NPI | 1538692165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2025-02002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 008422) |
| 208M00000X Hospitalist (Licence: AZ 008422) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-08-18 |