| NPI | 1063682672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI DOS-1284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0453) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2021-11-22 |