| NPI | 1164734463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 069183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4185) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2019-10-02 |