| NPI | 1083894604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY C2432) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D70607) |
| 207R00000X Internal Medicine (Licence: VA 0101248580) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2025-02-19 |