| NPI | 1447399456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD29293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0433) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-09-20 |