| NPI | 1518141316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 33376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC TL33376) |
| 207R00000X Internal Medicine (Licence: PR 17474) | |
| 207R00000X Internal Medicine (Licence: SC 33376) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-11-25 |