| NPI | 1598784969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DC MD046711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A72623) |
| 208M00000X Hospitalist (Licence: NM MD2016-0050) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-02-04 |