| NPI | 1720224033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088337) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301088337) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2017-06-16 |