| NPI | 1992980536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 049205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 49205) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2018-07-11 |