| NPI | 1487963492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 57113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 57113-20) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2021-12-02 |