| NPI | 1457703878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 70613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068727) |
| 208M00000X Hospitalist (Licence: WI 70613) | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2019-06-28 |