| NPI | 1588866636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-01494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 187743) |
| 207R00000X Internal Medicine (Licence: AL 29683) | |
| 207R00000X Internal Medicine (Licence: NC 2013-01494) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-10-25 |