| NPI | 1689669590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301065677) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301065677) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2017-03-07 |