| NPI | 1528225042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-40906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD442323) |
| 207R00000X Internal Medicine (Licence: IA 40906) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-05-14 |