| NPI | 1649701491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 6914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020516) |
| 207R00000X Internal Medicine (Licence: OK 6914) | |
| 208M00000X Hospitalist (Licence: PA OS020516) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-04-23 |