| NPI | 1134149511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 54787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83360) |
| 207R00000X Internal Medicine (Licence: KY 54787) | |
| 208M00000X Hospitalist (Licence: FL ME83360) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-12-19 |