| NPI | 1649363300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 30296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 030296) |
| 208M00000X Hospitalist (Licence: GA 30296) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-01-26 |