| NPI | 1093081531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 80194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 35211) |
| 207R00000X Internal Medicine (Licence: GA 80194) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-05-22 |