| NPI | 1851352520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS4593) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS 4593) |
| 207R00000X Internal Medicine (Licence: FL 0S 4593) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2016-05-06 |