| NPI | 1912304585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 83745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01781) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2022-08-17 |