| NPI | 1629683784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 82089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125076953) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-10-20 |