| NPI | 1750311825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 225153) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 225153) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-04-04 |