| NPI | 1366635104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 301440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233622) |
| 207R00000X Internal Medicine (Licence: LA 301440) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2023-08-25 |