| NPI | 1205818663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD19794) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD19794) |
| 207R00000X Internal Medicine (Licence: WY TL8005) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-12-29 |