| NPI | 1518953769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2012-00691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-067640) |
| 207R00000X Internal Medicine (Licence: NC 176992) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-09-04 |