| NPI | 1205820057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.32090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200000422) |
| 207R00000X Internal Medicine (Licence: AL MD.32090) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2024-07-26 |