| NPI | 1336181791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 9412) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P4481) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-10-27 |