| NPI | 1790940658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 8070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 8070) |
| 207R00000X Internal Medicine (Licence: MO 2008014585) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-03-29 |