| NPI | 1467816561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 105095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71308) |
| 208M00000X Hospitalist (Licence: GA 105095) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-12-24 |