| NPI | 1871932699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO176931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG162468) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-05-24 |