| NPI | 1407146319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-00899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036134921) |
| 208M00000X Hospitalist (Licence: IL 036134921) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-08-07 |