| NPI | 1467765701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-44530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT CSP.0048399) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2021-07-20 |