| NPI | 1578721478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 14648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD24000) |
| 207R00000X Internal Medicine (Licence: LA MD.204185) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-02-22 |