| NPI | 1639253586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 223495) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 223495) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: MA 223495) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-02-06 |