| NPI | 1609042183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301091023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1182701) |
| 208M00000X Hospitalist (Licence: MI 4301091023) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2016-03-01 |