| NPI | 1619397536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 17692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17692) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2024-09-24 |