| NPI | 1285945279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 32944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32944) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-11-07 |