| NPI | 1811922099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD24061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 24061) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-01-31 |