| NPI | 1558586826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-37247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37247) |
| 207R00000X Internal Medicine (Licence: IA MD-37247) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2017-11-09 |