| NPI | 1073809026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 72293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 072293) |
| 207R00000X Internal Medicine (Licence: FL UO2876) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2020-01-09 |