| NPI | 1508179656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2010-01183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101261381) |
| 208M00000X Hospitalist (Licence: NH 22629) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-08-11 |