| NPI | 1265546766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C156143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251212) |
| 208M00000X Hospitalist (Licence: NY 251212) | |
| 208M00000X Hospitalist (Licence: GA 064523) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-12-21 |