| NPI | 1922267582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16444) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 52220) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2022-03-25 |