| NPI | 1700839966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.200740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 18661) |
| 208M00000X Hospitalist (Licence: MS 18661) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-12-17 |