| NPI | 1699171538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS13708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0068505) |
| 207R00000X Internal Medicine (Licence: FL UO3994) | |
| 207R00000X Internal Medicine (Licence: FL OS13708) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-05-19 |