| NPI | 1205871308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME70377) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 36243) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2026-01-26 |