| NPI | 1871098483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-21691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI mdr-7508) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-04-15 |