| NPI | 1548676984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD211286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101261945) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-08-19 |