| NPI | 1013916261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 14142R) |
| 208M00000X Hospitalist (Licence: NV 11699) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-01-19 |