| NPI | 1740391390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 17254) |
| Additional Taxonomies | 174400000X Specialist |
| 208M00000X Hospitalist (Licence: MS 17254) | |
| 174400000X Specialist (Licence: MS 17254) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-11-09 |