| NPI | 1720497514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 138568) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 138568) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2021-09-08 |