| NPI | 1376633529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301072439) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301072439) |
| 208M00000X Hospitalist (Licence: MI 4301072439) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-11-19 |