| NPI | 1336314764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 233474) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 23374) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2021-02-26 |