| NPI | 1801025788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 067810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003697) |
| 207R00000X Internal Medicine (Licence: GA 067810) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2019-09-30 |