| NPI | 1558894964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 24665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 24665) |
| 207R00000X Internal Medicine (Licence: VA 0101271282) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-10-30 |