| NPI | 1326264425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 30006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 300006) |
| 207R00000X Internal Medicine (Licence: SC 30006) | |
| 208M00000X Hospitalist (Licence: NC 2011-01481) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-06-28 |