| NPI | 1841797818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.154530) |
| 208M00000X Hospitalist (Licence: IL 036.154530) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-11-30 |