| NPI | 1962726844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC MD40647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00833) |
| 208M00000X Hospitalist (Licence: SC 40647) | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2022-10-18 |