| NPI | 1306139035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD190679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A132105) |
| 207R00000X Internal Medicine (Licence: MI 4301099494) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-12-03 |