| NPI | 1134304710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 85621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN PENDING) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2021-07-01 |