| NPI | 1992783476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 58567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058567) |
| 207R00000X Internal Medicine (Licence: FL OS8901) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-03-05 |