| NPI | 1801159314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A159982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26425) |
| 208M00000X Hospitalist (Licence: PA MD459367) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-09-23 |