| NPI | 1134295009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2007011036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013452) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2023-03-07 |