| NPI | 1144256017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36-111220) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 49402) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-10-20 |