| NPI | 1003849845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 9601285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40206) |
| 207R00000X Internal Medicine (Licence: NC 9601285) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-08-09 |