| NPI | 1801279906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 310699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA FS2328222-61) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-09-21 |