| NPI | 1568727683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-01358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061281) |
| 207R00000X Internal Medicine (Licence: SC 39818) | |
| 207R00000X Internal Medicine (Licence: NC 2019-01358) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-06-14 |