| NPI | 1831327097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-00078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 31873) |
| 207R00000X Internal Medicine (Licence: NC 2018-00078) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2022-08-07 |