| NPI | 1083844518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 075365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075365) |
| 208M00000X Hospitalist (Licence: CO 51468) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2023-04-28 |