| NPI | 1780948554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.138278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061207) |
| 208M00000X Hospitalist (Licence: IL 036138278) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2021-05-03 |