| NPI | 1184903437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2019-0219) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD167542) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-12-07 |