| NPI | 1669975447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 87973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 163610) |
| 207R00000X Internal Medicine (Licence: GA 87973) | |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2023-08-16 |