| NPI | 1497975353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 5378) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-51888) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-11-14 |