| NPI | 1699159244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 57349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108297) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-05-04 |