| NPI | 1265870489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD180012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD180012) |
| 207R00000X Internal Medicine (Licence: OR PG163927) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-10-15 |