| NPI | 1528384849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072890A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.34557) |
| 208M00000X Hospitalist (Licence: IL 036.133652) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2016-10-14 |