| NPI | 1053743229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 7085) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-43656) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2017-04-10 |