| NPI | 1912262684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2022025646) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 279966) |
| 208M00000X Hospitalist (Licence: MO 2022025646) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2022-09-06 |