| NPI | 1124039698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD d65020) |
| 208M00000X Hospitalist (Licence: IN 01080918A) | |
| 208M00000X Hospitalist (Licence: MD d65020) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-02-18 |