| NPI | 1689017477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 207445) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 207445) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-12-16 |