| NPI | 1336435502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2015043483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015043483) |
| 207R00000X Internal Medicine (Licence: MI 4301098939) | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2020-01-09 |