| NPI | 1669581294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2009-00023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 25805) |
| 207R00000X Internal Medicine (Licence: NC 2009-00023) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-03-22 |