| NPI | 1952864324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 330029) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-14059) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-12-20 |