| NPI | 1265812358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 3825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38285) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2018-06-26 |