| NPI | 1760623102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230548) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 242257) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2016-10-28 |