| NPI | 1710116959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS12317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-00892) |
| 208M00000X Hospitalist (Licence: NC 2011-00892) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-11-21 |