| NPI | 1730740838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2022027873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04758) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2024-03-15 |