| NPI | 1609986827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 34044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 34044) |
| 174400000X Specialist (Licence: NM 94-120) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-12-03 |