| NPI | 1962817817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 30002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7315) |
| 208M00000X Hospitalist (Licence: IA MD44397) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2019-09-06 |