| NPI | 1215376520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 265711) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 265711) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-08-10 |