| NPI | 1699119982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 86339) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 054543) |
| 207R00000X Internal Medicine (Licence: CT 054543) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-03-20 |