| NPI | 1518127620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 20654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 2518) |
| 208M00000X Hospitalist (Licence: TN 2518) | |
| 208M00000X Hospitalist (Licence: MS 20654) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2024-01-12 |