| NPI | 1275566846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 29289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00994) |
| 207R00000X Internal Medicine (Licence: SC MD29289) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-05-15 |