| NPI | 1376679571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-01029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D69015) |
| 208M00000X Hospitalist (Licence: NC 2009-01029) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2022-02-01 |