| NPI | 1316366701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036141918) |
| 208M00000X Hospitalist (Licence: IL 036141918) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-11-24 |