| NPI | 1417975525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 31026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58424) |
| 207R00000X Internal Medicine (Licence: KY 31026) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-11-30 |