| NPI | 1104141126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 60099-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 60099) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2023-08-25 |