| NPI | 1962745331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0089867) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.207130) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-07-09 |