| NPI | 1154406338 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0065237) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D65237) | 
| Enumeration Date | 2006-10-26 | 
| Last Update Date | 2024-10-08 |