| NPI | 1881012029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 078049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 078049) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2018-06-14 |