| NPI | 1659767879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 0064063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0064063) |
| 208M00000X Hospitalist (Licence: IL 036.145692) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-06-14 |