| NPI | 1922493329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 57325) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 57325) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-11-27 |