| NPI | 1225228836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2020-00190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00190) |
| 207R00000X Internal Medicine (Licence: ND 10662) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2026-08-06 |