| NPI | 1457355364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A18668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 206544) |
| 207R00000X Internal Medicine (Licence: AZ 9497) | |
| 208M00000X Hospitalist (Licence: CA 20A18668) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-03-23 |