| NPI | 1164497210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-094429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055291) |
| 208M00000X Hospitalist (Licence: GA 055291) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-07-22 |