| NPI | 1225327828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 55533) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 55533) |
| 208M00000X Hospitalist (Licence: ND 75301) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2023-11-01 |