| NPI | 1821037110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 058420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 37924) |
| 208M00000X Hospitalist (Licence: TN 0037924) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2018-03-17 |