| NPI | 1568696342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 55300-020) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 55300) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-03-09 |