| NPI | 1568810851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 31251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7662) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-06-13 |