| NPI | 1801028162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID 036140628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093744) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-11-13 |