| NPI | 1619037553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 30985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200901561) |
| 208M00000X Hospitalist (Licence: NC 200901561) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-02-11 |