| NPI | 1225418239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-00514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38293) |
| 207R00000X Internal Medicine (Licence: SC 38293) | |
| 208M00000X Hospitalist (Licence: NC 2019-00514) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-10-26 |