| NPI | 1972918365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 077646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 006767) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-11-16 |