| NPI | 1306080973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-03443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-03443) |
| 207R00000X Internal Medicine (Licence: SC 36484) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-01-17 |