| NPI | 1235164872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301076703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 45532) |
| 208M00000X Hospitalist (Licence: MI 4301076703) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-03-30 |