| NPI | 1710368154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 081064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38184) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-08-23 |