| NPI | 1548667934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 081400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271067) |
| 208M00000X Hospitalist (Licence: MA 271067) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2019-04-22 |