| NPI | 1033537774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-02116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD045682) |
| 207R00000X Internal Medicine (Licence: NC 2019-02116) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-03-10 |