| NPI | 1548220304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A94954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0430644) |
| 208M00000X Hospitalist (Licence: CA A94954) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-03-15 |