| NPI | 1679548697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 39914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 00514) |
| 207R00000X Internal Medicine (Licence: SC 39914) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-04-30 |