| NPI | 1013991488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200501109) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200501109) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-12-15 |