| NPI | 1003055252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301089472) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01079000A) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2023-01-25 |