| NPI | 1952926032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-23547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-7941) |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2023-09-28 |