| NPI | 1912187550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 29852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 64820) |
| 208M00000X Hospitalist (Licence: AL MD.29852) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2023-03-28 |