| NPI | 1821397407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-00870) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01081748A) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2020-12-29 |