| NPI | 1083707020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 38364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-01597) |
| 208M00000X Hospitalist (Licence: NC 2016-01597) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-03-11 |