| NPI | 1609118140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078171A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301111188) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2019-12-06 |