| NPI | 1821436023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 73142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 073142) |
| 207R00000X Internal Medicine (Licence: GA 6110) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-10-15 |