| NPI | 1508126780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 73779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 005441) |
| 208M00000X Hospitalist (Licence: GA 73779) | |
| 208M00000X Hospitalist (Licence: MO 2015022429) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2022-08-26 |