| NPI | 1821355199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D54030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0054030) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2017-07-21 |