| NPI | 1730522202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081110) |
| 207R00000X Internal Medicine (Licence: GA 86588) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2020-10-01 |