| NPI | 1346569191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD224145) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A124531) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2025-12-03 |