| NPI | 1851602502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO157021) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: OR DO157021) |
| 208M00000X Hospitalist (Licence: OR DO157021) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2020-11-05 |