| NPI | 1174883722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 207910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME165940) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-07-05 |