| NPI | 1669705505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 064461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0009155) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2020-08-17 |