| NPI | 1740486398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.119142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013520) |
| 208M00000X Hospitalist (Licence: IN 02004020A) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-11-30 |