| NPI | 1720374721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD17945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 073583) |
| 208M00000X Hospitalist (Licence: GA 073583) | |
| 208M00000X Hospitalist (Licence: VA 0101270491) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-04-19 |