| NPI | 1134217045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152154) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 33214) |
| 207R00000X Internal Medicine (Licence: GA 33214) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2026-06-09 |