| NPI | 1164782504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.37563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-02266) |
| 208M00000X Hospitalist (Licence: NC 2014-02266) | |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2022-05-06 |