| NPI | 1376711044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2020037788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020037788) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2020037788) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2024-10-30 |