| NPI | 1467688523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 303553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101252011) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2017-01-05 |