| NPI | 1275979171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD179637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG162939) |
| 207R00000X Internal Medicine (Licence: OR MD179637) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-10-19 |