| NPI | 1598295818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS16976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 009462) |
| 207R00000X Internal Medicine (Licence: FL OS16976) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-03-16 |