| NPI | 1033209127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 51586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51586) |
| 207R00000X Internal Medicine (Licence: IN 01039672) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-05-21 |