| NPI | 1568718708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D79576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251745) |
| 208M00000X Hospitalist (Licence: MD D0079576) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2017-07-27 |