| NPI | 1164696969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD170236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47030) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2017-05-03 |