| NPI | 1497914972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 065533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245151) |
| 207R00000X Internal Medicine (Licence: GA 065533) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-08-17 |