| NPI | 1659378503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 38345) |
| Additional Taxonomies | 174400000X Specialist (Licence: ND 9728) |
| 208M00000X Hospitalist (Licence: KY 38345) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-03-24 |