| NPI | 1720309958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 15643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4164) |
| 207R00000X Internal Medicine (Licence: NV 15643) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-12-06 |