| NPI | 1376982348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 83628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103594) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2021-05-25 |