| NPI | 1689969198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 33650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MMD.33650 LL) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-10-22 |