| NPI | 1629454087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018032425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107792) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2022-07-27 |