| NPI | 1225277296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2020-03626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259992) |
| 207R00000X Internal Medicine (Licence: AZ 50298) | |
| 208M00000X Hospitalist (Licence: AZ 50298) | |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2025-04-23 |