| NPI | 1528352598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-00547) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 52426) |
| 207R00000X Internal Medicine (Licence: IN 01092317A) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-05-20 |