| NPI | 1750579942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01667) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 37271) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2021-06-16 |