| NPI | 1649651712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-19436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015017188) |
| 207R00000X Internal Medicine (Licence: HI MD-19436) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-07-20 |