| NPI | 1124280136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 8309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 8309) |
| 207R00000X Internal Medicine (Licence: NE 4952) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-06-10 |