| NPI | 1891905220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 065189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37868) |
| 208M00000X Hospitalist (Licence: GA 65189) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-04-17 |