| NPI | 1316177157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301093752) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 304889) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-04-13 |