| NPI | 1578850475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-02518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 71924) |
| 208M00000X Hospitalist (Licence: GA 071924) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-06-13 |