| NPI | 1639391261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.202108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 222019) |
| 208000000X Pediatrics (Licence: MA 222019) | |
| 207R00000X Internal Medicine (Licence: LA MD.202108) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-04-05 |