| NPI | 1225478803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 055342) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 055342) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2017-10-13 |