| NPI | 1528011061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2002014405) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID 6271085) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-11-10 |