| NPI | 1023120185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-01134) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2006-01134) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-06-19 |