| NPI | 1366709792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO216470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019807) |
| 207R00000X Internal Medicine (Licence: ID OC0033) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-08-16 |