| NPI | 1821300047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01487) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2013-01487) |
| 207R00000X Internal Medicine (Licence: MS 792-L) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2020-10-15 |