| NPI | 1205086816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 39558) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 50668) |
| 207R00000X Internal Medicine (Licence: CT 50668) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2016-11-28 |