| NPI | 1447581301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 1665) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC TL1665) |
| 207R00000X Internal Medicine (Licence: PA os014441) | |
| 208M00000X Hospitalist (Licence: PA OS014441) | |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2020-02-22 |