| NPI | 1548643208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS15160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4619) |
| 207R00000X Internal Medicine (Licence: FL OS15160) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-10-06 |