| NPI | 1417100777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101017788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005707) |
| 208M00000X Hospitalist (Licence: AZ 005707) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2022-07-21 |