| NPI | 1114053014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M10968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-10968) |
| 208M00000X Hospitalist (Licence: ID M10968) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-05-16 |