| NPI | 1508934050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301059840) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MI 4301059840) |
| 208M00000X Hospitalist (Licence: MI 4301059840) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-06-10 |