| NPI | 1639617665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 100964) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 73213) |
| 207R00000X Internal Medicine (Licence: MI 5101023125) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-10-10 |