| NPI | 1932546504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD176535) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG162941) |
| 208M00000X Hospitalist (Licence: OR MD176535) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-05-29 |