| NPI | 1720354186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100557) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301100557) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-09-19 |