| NPI | 1588026488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 18971) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 53781) |
| 207R00000X Internal Medicine (Licence: KY 53781) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-06-17 |