| NPI | 1538168968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 049192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 49192) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 49192) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-12-04 |