| NPI | 1467766352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 271121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115269) |
| 207R00000X Internal Medicine (Licence: GA 73711) | |
| 208M00000X Hospitalist (Licence: GA 73711) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2022-09-07 |