| NPI | 1023313715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A115320) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A115320) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2018-08-01 |