| NPI | 1417159518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-02354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-02354) |
| 207R00000X Internal Medicine (Licence: MI 4301089403) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-02-01 |