| NPI | 1700847993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 040487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00022709) |
| 207R00000X Internal Medicine (Licence: GA 040487) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-11-09 |