| NPI | 1588235287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 2924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 9062) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2025-04-14 |