| NPI | 1023155843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 237809) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 237809) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-01-18 |