| NPI | 1750907283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023034691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020017017) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-09-15 |