| NPI | 1982845657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 072040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13366) |
| 207R00000X Internal Medicine (Licence: GA 072040) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2018-03-08 |