| NPI | 1730509027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 86615) |
| 207R00000X Internal Medicine (Licence: AL 34838) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-12-09 |