| NPI | 1063678878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 30261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 33216) |
| 208M00000X Hospitalist (Licence: IN 01065380A) | |
| 208M00000X Hospitalist (Licence: SC 33216) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-12-01 |