| NPI | 1003898842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM A-2178-18) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 2087) |
| 208M00000X Hospitalist (Licence: TN 2087) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-06-04 |