| NPI | 1508270745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM a-2060-17) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR DO180625) |
| 207R00000X Internal Medicine (Licence: CO 5347) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-01-04 |