| NPI | 1366502155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 14750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 038362) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 038362) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-03-17 |