| NPI | 1316190028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078841A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.142242) |
| 208M00000X Hospitalist (Licence: IL 036.142242) | |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2018-05-30 |