| NPI | 1467601997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101024396) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 61172-021) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2019-04-05 |