| NPI | 1407122690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A137423) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A137423) |
| 208M00000X Hospitalist (Licence: CA A137423) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2022-10-31 |