| NPI | 1902036858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 89912) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 261783) |
| 207R00000X Internal Medicine (Licence: MD H78690) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2023-01-31 |