| NPI | 1568810539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101274831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08941) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-06-03 |