| NPI | 1275952269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 56473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-56473) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2017-12-01 |