| NPI | 1225184765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA c153705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51523-20) |
| 208M00000X Hospitalist (Licence: WI 51523-020) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-01-12 |