| NPI | 1275875130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16571) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16571) |
| 208M00000X Hospitalist (Licence: OR MD217937) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-11-13 |