| NPI | 1982865176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 065471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003021) |
| 207R00000X Internal Medicine (Licence: GA 65471) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2016-02-02 |