| NPI | 1427258607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME113208) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM MD2010-0503) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-08-12 |