| NPI | 1942295886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D31189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D31189) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2019-10-21 |