| NPI | 1669401352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200400310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2004-00310) |
| 208000000X Pediatrics (Licence: NC 2004-00310) | |
| 207R00000X Internal Medicine (Licence: NC 200400310) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-11-06 |