| NPI | 1366719023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C169487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301116550) |
| 207R00000X Internal Medicine (Licence: LA md.204590) | |
| 208M00000X Hospitalist (Licence: OH 35130677) | |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2022-02-11 |