| NPI | 1992737381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 53193-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 55436431205) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-08 |