| NPI | 1700238722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GU M-2179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069136) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2019-10-20 |