| NPI | 1073594909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 43045) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 047541) |
| 208M00000X Hospitalist (Licence: TN 43045) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2021-01-19 |