| NPI | 1679989263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-01074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 7381) |
| 207R00000X Internal Medicine (Licence: NC 2022-01074) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-07-20 |