| NPI | 1821214735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 82500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 7321) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-08-31 |