| NPI | 1093058307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 202203303) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD044449) |
| 208M00000X Hospitalist (Licence: MD D0081092) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-08-07 |