| NPI | 1053345157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 14077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R9N68) |
| 208M00000X Hospitalist (Licence: MO R9N68) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-03-07 |