| NPI | 1740674241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 54036) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY TP285) |
| 207R00000X Internal Medicine (Licence: WA MD60777470) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2020-07-13 |