| NPI | 1902968555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2007-01614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 140503) |
| 208M00000X Hospitalist (Licence: NC 140503) | |
| 207R00000X Internal Medicine (Licence: NC 2007-01614) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-03-07 |