| NPI | 1558503532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 90445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD157631) |
| 207R00000X Internal Medicine (Licence: GA 90445) | |
| 208M00000X Hospitalist (Licence: OR MD157631) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2021-10-28 |