| NPI | 1093782138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-34175) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID O0822) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-06-06 |