| NPI | 1538488879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 277909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-34373) |
| 208M00000X Hospitalist (Licence: FL ME121411) | |
| 208M00000X Hospitalist (Licence: KS 04-34373) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2017-11-28 |