| NPI | 1992047153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63065-20) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-11-23 |