| NPI | 1366442402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS012386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 05012386) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2019-01-30 |