| NPI | 1760500227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101256618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087255) |
| 208M00000X Hospitalist (Licence: KS 04-32918) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-08-14 |