| NPI | 1659378891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 9830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 9830) |
| 207R00000X Internal Medicine (Licence: NC 9801172) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2019-08-27 |