| NPI | 1750812244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 12284045-1205) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 66950) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2021-10-29 |