| NPI | 1700318409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-01507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502399) |
| 208M00000X Hospitalist (Licence: MI 4301502399) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-07-14 |