| NPI | 1609492354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 011383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.167441) |
| 208M00000X Hospitalist (Licence: IL 036167441) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-02-04 |