| NPI | 1508210097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82240) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 82240) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-01-20 |