| NPI | 1730231218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D60390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C175562) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-06-23 |