| NPI | 1508111634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.207938) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI Md.207938) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2021-03-30 |