| NPI | 1588998918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 12751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12232) |
| 207R00000X Internal Medicine (Licence: MN 66762) | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2022-01-25 |