| NPI | 1508194184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 170886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 15060) |
| 208M00000X Hospitalist (Licence: NY 298581) | |
| 208M00000X Hospitalist (Licence: NV 15060) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2024-03-20 |