| NPI | 1942676978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 18835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 18835) |
| 208M00000X Hospitalist (Licence: CT 071051) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2024-03-22 |