| NPI | 1477008571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 31527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7679) |
| 208M00000X Hospitalist (Licence: IA MD-46892) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-12-20 |