| NPI | 1083666762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME65102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83295) |
| 208M00000X Hospitalist (Licence: IL 036.179063) | |
| 207R00000X Internal Medicine (Licence: VA 101267838) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-03-25 |