| NPI | 1083920128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 96422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60520) |
| 208M00000X Hospitalist (Licence: WI 60520) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2023-10-11 |