| NPI | 1306830104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 40762) |
| 208M00000X Hospitalist (Licence: WI 40762) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2024-01-11 |