| NPI | 1639690662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 88927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S6661) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-01-19 |