| NPI | 1356639702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 281682) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 281682) |
| 208M00000X Hospitalist (Licence: MD D077422) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2019-11-22 |