| NPI | 1992979199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 247226) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 247226) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-01-03 |