| NPI | 1093970428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D85450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247432) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-01-10 |