| NPI | 1558682344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 32854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32854) |
| 207R00000X Internal Medicine (Licence: SC 32854) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-11-02 |