| NPI | 1083862403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD173870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD173870) |
| 207R00000X Internal Medicine (Licence: DC MD041648) | |
| 207R00000X Internal Medicine (Licence: MD D76274) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2021-11-17 |