| NPI | 1023069770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 430108049) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301080495) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-06-11 |