| NPI | 1649631193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 134052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053707) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2018-10-24 |