| NPI | 1326319138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 31119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057578) |
| 208M00000X Hospitalist (Licence: IA MD-45642) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2018-10-05 |