| NPI | 1932490141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 032381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 32381) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-08-17 |