| NPI | 1316264229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.204724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.46952) |
| 207R00000X Internal Medicine (Licence: GA 96940) | |
| 208M00000X Hospitalist (Licence: LA MD.204724) | |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2023-08-24 |