| NPI | 1790734788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 12358) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.12358) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-12-27 |