| NPI | 1265425391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 20101101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2001001101) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2024-04-12 |