| NPI | 1770509382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 9943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01057962A) |
| 208M00000X Hospitalist (Licence: ND 9943) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2017-11-01 |