| NPI | 1053623025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 32901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 32901) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2019-05-20 |