| NPI | 1902331176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 54355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 54355) |
| 208M00000X Hospitalist (Licence: KY TP413) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-02-06 |