| NPI | 1942629084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 64512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 64512-20) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-10-16 |