| NPI | 1356412340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 32136) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 32136) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-11-05 |