| NPI | 1700855244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200101209) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01081769A) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-03-22 |