| NPI | 1124468400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 73999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 4851) |
| 207R00000X Internal Medicine (Licence: MD D79632) | |
| 208M00000X Hospitalist (Licence: WI 4851) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2025-02-13 |