| NPI | 1891108254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 268924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259197) |
| 208M00000X Hospitalist (Licence: MA 268924) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2017-05-08 |