| NPI | 1417096389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101238425) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 41524) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-06-02 |