| NPI | 1174826887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260206) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0434984) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2026-04-17 |