| NPI | 1477583722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OR MD152796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD152796) |
| 208M00000X Hospitalist (Licence: OR MD152796) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-09-02 |