| NPI | 1821442559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 299098) |
| 207R00000X Internal Medicine (Licence: GA 86016) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-05-26 |