| NPI | 1497946750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 201552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 201552) |
| 208M00000X Hospitalist (Licence: LA 201552) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-06-04 |