| NPI | 1194915470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 059840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059840) |
| 207R00000X Internal Medicine (Licence: IN 01069915A) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-03-08 |