| NPI | 1750813127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH pending) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 43936) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-02-28 |