| NPI | 1144216078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS17236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102307027) |
| 208M00000X Hospitalist (Licence: NC 2015-01577) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2023-12-13 |