| NPI | 1811371081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 62188) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018023709) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-02-15 |