| NPI | 1790708964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 41183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 41183-020) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-07-29 |