| NPI | 1790985810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-04362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 49826020) |
| 208M00000X Hospitalist (Licence: WI 49826) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2021-04-07 |