| NPI | 1568663763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 202427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 202427) |
| 208M00000X Hospitalist (Licence: LA MD.202427) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-12-17 |