| NPI | 1508987371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C128508) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C128508) |
| 207R00000X Internal Medicine (Licence: NV 12581) | |
| 208M00000X Hospitalist (Licence: FL ME113261) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-06-15 |