| NPI | 1063617835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D83836) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 42528) |
| 174400000X Specialist (Licence: MS 19814) | |
| 207R00000X Internal Medicine (Licence: MS 19814) | |
| 207R00000X Internal Medicine (Licence: MD D83836) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-05-01 |