| NPI | 1760611321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 20930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 239805) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2024-06-25 |