| NPI | 1720399116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 27368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6242) |
| 208M00000X Hospitalist (Licence: IA MD43076) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2019-09-09 |