| NPI | 1467749499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 30274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 9248) |
| 207R00000X Internal Medicine (Licence: NE 6609) | |
| 208M00000X Hospitalist (Licence: IA MD-44924) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-04-06 |