| NPI | 1811215643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 070347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME123871) |
| 208M00000X Hospitalist (Licence: GA 070347) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2024-07-25 |