| NPI | 1922218924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D89426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD042289) |
| 208M00000X Hospitalist (Licence: MD D89426) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-09-03 |