| NPI | 1053569483 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A124284) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A124284) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2025-02-18 |