| NPI | 1235485335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO176181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG168395) |
| 208M00000X Hospitalist (Licence: OR DO176181) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2020-11-10 |