| NPI | 1770555872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 39609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 08970) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-11-10 |