| NPI | 1881701407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 6888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD15677) |
| 208M00000X Hospitalist (Licence: AK 6888) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-04-30 |