| NPI | 1205927142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD20714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD20714) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-10-14 |