| NPI | 1255697264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 074318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 74318) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2021-03-18 |