| NPI | 1528398682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GU M-1691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU M-1691) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GU M-1691) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2019-05-23 |