| NPI | 1720399603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-01653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058849) |
| 207R00000X Internal Medicine (Licence: NC 2015-01653) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2024-08-12 |