| NPI | 1558310417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD195585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME110681) |
| 207R00000X Internal Medicine (Licence: AZ 33609) | |
| 208M00000X Hospitalist (Licence: OR MD195585) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-06-01 |