| NPI | 1255509261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 83335) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2014-00118) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2025-10-28 |