| NPI | 1306992250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 80388) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C202069) |
| 208M00000X Hospitalist (Licence: NY 263087) | |
| 207R00000X Internal Medicine (Licence: NC 200601821) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2026-08-03 |