| NPI | 1083076954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD198324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19429) |
| 207R00000X Internal Medicine (Licence: OR MD198324) | |
| 208M00000X Hospitalist (Licence: NV 19429) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2026-02-02 |