| NPI | 1629717020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND PT21447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL18567) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-09-10 |