| NPI | 1821189226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 64412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 64412) |
| 207R00000X Internal Medicine (Licence: NC 2006-00211) | |
| 208M00000X Hospitalist (Licence: NC 2006-00211) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-02-04 |