| NPI | 1922111491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-38504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38504) |
| 207R00000X Internal Medicine (Licence: IA MD-38504) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-11-08 |