| NPI | 1265693287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD152184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD152184) |
| 207R00000X Internal Medicine (Licence: OR LL18003) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-07-22 |