| NPI | 1689938243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 51564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100417) |
| 207R00000X Internal Medicine (Licence: SC 51564) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2021-06-08 |