| NPI | 1386064491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 88480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 88480) |
| 207R00000X Internal Medicine (Licence: DE C1-0012073) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-07-06 |