| NPI | 1215377312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-19935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013020325) |
| 207R00000X Internal Medicine (Licence: HI MD-19935) | |
| 208000000X Pediatrics (Licence: MO 2013020325) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-07-16 |