| NPI | 1578582797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200400005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200400005) |
| 207R00000X Internal Medicine (Licence: SC 23570) | |
| 208M00000X Hospitalist (Licence: SC 23570) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-06-08 |