| NPI | 1568720357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 247389) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 264970) |
| 208M00000X Hospitalist (Licence: UT 10726223-1205) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2018-05-30 |