| NPI | 1306939475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD9489) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD9489) |
| 208M00000X Hospitalist (Licence: HI Hospitalist MD9489) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-12-09 |