| NPI | 1093964769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C164659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C164659) |
| 207R00000X Internal Medicine (Licence: AZ 51057) | |
| 208M00000X Hospitalist (Licence: AZ 51057) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-01-11 |