| NPI | 1760732010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 61757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42472) |
| 208M00000X Hospitalist (Licence: IA MD-42472) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2018-08-15 |