| NPI | 1265456289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200401660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2004-01660) |
| 207R00000X Internal Medicine (Licence: NC 200401660) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-05-04 |