| NPI | 1952532350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A137487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194540) |
| 207R00000X Internal Medicine (Licence: PA md446240) | |
| 207R00000X Internal Medicine (Licence: WA MD.MD.60347966) | |
| 207R00000X Internal Medicine (Licence: CA A137487) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2017-10-03 |