| NPI | 1639359342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 65307) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 065307) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2022-07-21 |