| NPI | 1760659627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD126238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD126238) |
| 207R00000X Internal Medicine (Licence: OR LL17051) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2021-11-15 |