| NPI | 1164576245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-04407) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA DO-04407) |
| 208M00000X Hospitalist (Licence: IA 4407) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2026-02-18 |