| NPI | 1558784116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-02479) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2016-02479) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2023-12-18 |