| NPI | 1295703338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200101490) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 22822) |
| 208M00000X Hospitalist (Licence: NC 200101490) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-08-22 |