| NPI | 1225097611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A80163) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 31815) |
| 207R00000X Internal Medicine (Licence: AZ 31815) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2025-11-19 |