| NPI | 1124066535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2002-00152) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01082791A) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-02-12 |