| NPI | 1386689537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 22956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 15491) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-08-09 |