| NPI | 1356452999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5315108518) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101013373) |
| 208M00000X Hospitalist (Licence: MI 5101013373) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-02-19 |