| NPI | 1063433449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 049132) |
| 208M00000X Hospitalist (Licence: OR MD28967) | |
| 208M00000X Hospitalist (Licence: SC 84122) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-03-04 |