| NPI | 1114967858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-41975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080422A) |
| 208M00000X Hospitalist (Licence: KY 39762) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-06-12 |