| NPI | 1790733301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR C4981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD28692) |
| 208M00000X Hospitalist (Licence: OR MD28692) | |
| 207R00000X Internal Medicine (Licence: AR C4981) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-02-06 |