| NPI | 1073614723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 13764R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C166102) |
| 207P00000X Emergency Medicine (Licence: OH 35.129510) | |
| 207R00000X Internal Medicine (Licence: CT 80189) | |
| 208M00000X Hospitalist (Licence: CT 80189) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-03-31 |