| NPI | 1780971192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-14430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01454) |
| 208M00000X Hospitalist (Licence: NC 2014-01454) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2021-06-24 |