| NPI | 1578124806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 18944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL15818) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2022-11-19 |