| NPI | 1568080596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 82083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046374) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-10-17 |