| NPI | 1528355971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101261651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 3227319) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-07-21 |