| NPI | 1659590479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 69598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007018722) |
| 208M00000X Hospitalist (Licence: MO 2007018722) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-11-19 |