| NPI | 1831331719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C153999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097821) |
| 208M00000X Hospitalist (Licence: MI 4301097821) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2018-06-19 |