| NPI | 1558388355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 54671-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 54671-20) |
| 207R00000X Internal Medicine (Licence: IL 036-115763) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2026-06-13 |