| NPI | 1437149408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.11020R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69216) |
| 207R00000X Internal Medicine (Licence: ND 13919) | |
| 208M00000X Hospitalist (Licence: WI 68491) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-05-31 |