| NPI | 1922437375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 98134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME125924) |
| 208M00000X Hospitalist (Licence: FL me125924) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-03-13 |