| NPI | 1417390527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D86571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA mD60640210) |
| 207R00000X Internal Medicine (Licence: PA MD466731) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-02-20 |