| NPI | 1679917488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 76184) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 076184) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2024-07-24 |