| NPI | 1053547778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 056183) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2012-00112) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-07-21 |