| NPI | 1902327331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 8500720) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 83935) |
| 207R00000X Internal Medicine (Licence: GA 83935) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2024-12-17 |