| NPI | 1770804759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 292165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448964) |
| 208M00000X Hospitalist (Licence: PA MD448964) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-06-07 |