| NPI | 1992064935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 95895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 3902) |
| 207R00000X Internal Medicine (Licence: GA 95895) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-08-07 |