| NPI | 1346500477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 79967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79967) |
| 207R00000X Internal Medicine (Licence: MD D78743) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-06-10 |