| NPI | 1396765699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 47275) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 47275) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 59174) | |
| 207R00000X Internal Medicine (Licence: WI 47275) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-11-11 |