| NPI | 1336235050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2002030221) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2002030221) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-17 |