| NPI | 1174750962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-7076) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E7076) |
| 207R00000X Internal Medicine (Licence: NM MD2009-0084) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2026-02-12 |