| NPI | 1023064938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 58369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47598) |
| 208M00000X Hospitalist (Licence: GA 58369) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-05-21 |