| NPI | 1699195388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-23649) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 17184) |
| 207R00000X Internal Medicine (Licence: NV 17184) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-05-04 |