| NPI | 1083715007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 19528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19528) |
| 207R00000X Internal Medicine (Licence: CA C168711) | |
| 208M00000X Hospitalist (Licence: CA 168711) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-12-17 |