| NPI | 1679513469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 21863) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-10980) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-01-17 |