| NPI | 1275574105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 03512) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02006002A) |
| 208M00000X Hospitalist (Licence: AZ 008287) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-07-19 |