| NPI | 1083651707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 5365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5365) |
| 207R00000X Internal Medicine (Licence: IA 34529) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-04-04 |