| NPI | 1801459128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-49560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11442) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-08-30 |