| NPI | 1992728927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 054516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 60796) |
| 207R00000X Internal Medicine (Licence: FL ME117694) | |
| 208M00000X Hospitalist (Licence: ND 14782) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-09-04 |