| NPI | 1386986453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS 13597) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS13597) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-01-14 |