| NPI | 1376526418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2005005178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005005178) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-03-12 |