| NPI | 1447612007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD205454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312399) |
| 208M00000X Hospitalist (Licence: LA 312399) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-06-04 |