| NPI | 1164468534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O-1352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO26701) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-11-18 |