| NPI | 1609226901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-01217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018036872) |
| 208M00000X Hospitalist (Licence: MO 2018036872) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2021-08-01 |