| NPI | 1508846452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 40764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 40764) |
| 208M00000X Hospitalist (Licence: WI 40765) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-05-30 |