| NPI | 1619178159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2006019871) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2009018136) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-05-09 |