| NPI | 1851772214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A149763) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A149763) |
| 208M00000X Hospitalist (Licence: CA A149763) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-12-06 |