| NPI | 1891292751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 87179) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2021-02401) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2024-05-17 |