| NPI | 1316350879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2017-01626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201701626) |
| 207R00000X Internal Medicine (Licence: MA 260108) | |
| 207R00000X Internal Medicine (Licence: NC 2017-01626) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-09-02 |