| NPI | 1841501418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101018705) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5101018705) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-03-07 |