| NPI | 1871751222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2011-01277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-01277) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2021-06-16 |