| NPI | 1851617930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 35545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 164539) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2021-01-28 |