| NPI | 1891849352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 059814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045039) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2017-01-19 |