| NPI | 1083891808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-01940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50811) |
| 208M00000X Hospitalist (Licence: NC 2012-01940) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2021-03-27 |