| NPI | 1538321765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 1447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS10844) |
| 207R00000X Internal Medicine (Licence: SC 1447) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-01-12 |