| NPI | 1871544965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E3629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-3629) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-03-07 |