| NPI | 1669553798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0063703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0063703) |
| 208M00000X Hospitalist (Licence: MD D0063703) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-11-30 |