| NPI | 1952514341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD162140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD162140) |
| 207R00000X Internal Medicine (Licence: IA 37082) | |
| 208M00000X Hospitalist (Licence: IL 036.122624) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-07-27 |