| NPI | 1457677213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 59143) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 271063) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2026-01-30 |