| NPI | 1790721967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M-14510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L8954) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-21 |