| NPI | 1225411762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-01602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 7546) |
| 207R00000X Internal Medicine (Licence: NC 2018-01602) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2020-10-26 |