| NPI | 1982825196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME126666) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036118800) |
| 207R00000X Internal Medicine (Licence: IL 036118800) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-03-29 |