| NPI | 1336437680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-01006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01006) |
| 207R00000X Internal Medicine (Licence: SC 51293) | |
| 208M00000X Hospitalist (Licence: SC 51293) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2022-03-02 |