| NPI | 1467853929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 20668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 68632) |
| 208M00000X Hospitalist (Licence: IN 01079170A) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-03-04 |