| NPI | 1679531552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 22414) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 22414) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-10-22 |