| NPI | 1699776492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2009-0002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2009-0002) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-06-12 |