| NPI | 1114365392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI DOS-1743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116025682) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2016-10-20 |