| NPI | 1083736037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-69539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 90--175) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-02-22 |