| NPI | 1033318704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-01143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 84005) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-01-21 |