| NPI | 1679769723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS13322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013492) |
| 208M00000X Hospitalist (Licence: SC TL1118) | |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2015-07-17 |