| NPI | 1649891078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 96791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 340969) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-10-17 |