| NPI | 1609168012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C182355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-134249) |
| 208M00000X Hospitalist (Licence: IL 036-134249) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-09-06 |