| NPI | 1700089521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TN 50698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20739) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: MS 20739) | |
| 208M00000X Hospitalist (Licence: MS 20739) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2022-07-21 |