| NPI | 1902162787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-00978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00978) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2020-10-25 |