| NPI | 1508068818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2012-00468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-00468) |
| 208M00000X Hospitalist (Licence: IN 11012841A) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-11-27 |