| NPI | 1184852154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-01447) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01072632A) |
| 208M00000X Hospitalist (Licence: CT 72826) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2024-03-27 |