| NPI | 1558514232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 068725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008028211) |
| 207R00000X Internal Medicine (Licence: GA 068725) | |
| 208M00000X Hospitalist (Licence: MO 2008028211) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-02-20 |