| NPI | 1114210424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D75715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0075715) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2017-07-27 |