| NPI | 1639649585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01812) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2019-01812) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-08-08 |