| NPI | 1730594185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O-1034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10089) |
| 207R00000X Internal Medicine (Licence: ID O-1034) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-05-06 |