| NPI | 1811060668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1811060668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A81612) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-10-27 |