| NPI | 1013216282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-01108) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2016-01108) |
| 208M00000X Hospitalist (Licence: NC 2016-01108) | |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2017-05-19 |