| NPI | 1679735047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 31132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31132) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-07-19 |