| NPI | 1396164125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA md44455) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 44455) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-09-13 |