| NPI | 1902043490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101256658) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 261788) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2016-07-15 |