| NPI | 1164678454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048042) |
| 208M00000X Hospitalist (Licence: CT 048042) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-06-06 |