| NPI | 1316976285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 19251) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 057728) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-10 |