| NPI | 1447517974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 301711) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 301711) |
| 208M00000X Hospitalist (Licence: LA 301711) | |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2023-06-07 |