| NPI | 1144239500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023006560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023006560) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 31608) | |
| 208M00000X Hospitalist (Licence: AR E9142) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-08-01 |