| NPI | 1417966003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301081942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105464) |
| 208M00000X Hospitalist (Licence: MI 4301081942) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-11-01 |