| NPI | 1073533352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 39728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 108911) |
| 207R00000X Internal Medicine (Licence: MO MO108911) | |
| 207R00000X Internal Medicine (Licence: SC 39728) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-07-11 |