| NPI | 1760040810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 3851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 3851) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-04-04 |