| NPI | 1841381126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D61773) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 227613) |
| 208M00000X Hospitalist (Licence: MD D61773) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-04-23 |