| NPI | 1114024528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD-15894) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 44231) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-06-02 |