| NPI | 1417246877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 50908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48467) |
| 208M00000X Hospitalist (Licence: MS 23430) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2024-07-01 |