| NPI | 1558537522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2013036517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013036517) |
| 207R00000X Internal Medicine (Licence: IN 01069584A) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2017-10-26 |