| NPI | 1659726289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS15680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL U04946) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-03-25 |