| NPI | 1295118776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 30725) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA ,D-45359) |
| 207R00000X Internal Medicine (Licence: NE 7453) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2018-07-25 |