| NPI | 1629382098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 36447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012032353) |
| 207R00000X Internal Medicine (Licence: IN 01073713A) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2024-07-30 |