| NPI | 1265677132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-02316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43860) |
| 208M00000X Hospitalist (Licence: AZ 43860) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2019-10-15 |