| NPI | 1871648626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-14226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045017) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-05-17 |