| NPI | 1770806804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 1307) |
| 208M00000X Hospitalist (Licence: SC 1307) | |
| 208M00000X Hospitalist (Licence: NC 2013-01843) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2020-05-28 |