| NPI | 1063888386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-01751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-01751) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-06-14 |