| NPI | 1699936302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2015-00711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237536) |
| 207R00000X Internal Medicine (Licence: TN 49126) | |
| 208M00000X Hospitalist (Licence: TN 49126) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-07-01 |