| NPI | 1326120833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS15146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51308) |
| 207R00000X Internal Medicine (Licence: WV 2079) | |
| 207R00000X Internal Medicine (Licence: MA 243071) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-09-01 |