| NPI | 1558676148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-00560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075280) |
| 208M00000X Hospitalist (Licence: GA 075280) | |
| 208M00000X Hospitalist (Licence: NC 2017-00560) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-03-17 |