| NPI | 1063411601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME117368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 060215) |
| 208M00000X Hospitalist (Licence: GA 060215) | |
| Enumeration Date | 2005-07-16 |
| Last Update Date | 2021-06-10 |