| NPI | 1417242702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD .34004) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL Md.34004) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2025-07-01 |