| NPI | 1881036762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 18937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.302401) |
| 208M00000X Hospitalist (Licence: LA MD.302401) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-08-09 |