| NPI | 1255625471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 258602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247630) |
| 208M00000X Hospitalist (Licence: MA 258602) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-06-14 |