| NPI | 1770913428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O-1066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID O1066) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2024-04-29 |