| NPI | 1093786444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C53912) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C53912) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-05-01 |