| NPI | 1912326596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD20515) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2018-02621) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-06-16 |