| NPI | 1720549793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DC MD500003204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 178329) |
| 208M00000X Hospitalist (Licence: CA A178329) | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-09-09 |