| NPI | 1609336031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL 159793) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 19102) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-02-03 |