| NPI | 1487934881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 61787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 070032) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2022-05-18 |