| NPI | 1750561296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 071749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 35140) |
| 207R00000X Internal Medicine (Licence: GA 071749) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-06-12 |