| NPI | 1750592952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D78139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 46618) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2017-07-27 |