| NPI | 1821548413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 321739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116029977) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2024-05-22 |