| NPI | 1811923014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00022172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.22172) |
| 207R00000X Internal Medicine (Licence: AL 22172) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 22172) | |
| 208M00000X Hospitalist (Licence: AL MD.22172) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-03-05 |