| NPI | 1053725473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2017-01406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36705) |
| 207R00000X Internal Medicine (Licence: NC 2017-01406) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-10-26 |