| NPI | 1134358161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY C5812) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01070432A) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2026-07-06 |