| NPI | 1891281820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 29092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301116161) |
| 207R00000X Internal Medicine (Licence: MS 29092) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-08-10 |