| NPI | 1831621101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-2368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4610) |
| 208M00000X Hospitalist (Licence: KY 04733) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-11-03 |