| NPI | 1588073399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 1658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 1658) |
| 208M00000X Hospitalist (Licence: IA DO-04998) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2019-09-09 |