| NPI | 1780070490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 134965) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AK 134965) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2018-09-14 |