| NPI | 1558655472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 18043) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036136122) |
| 208M00000X Hospitalist (Licence: NV 18043) | |
| 207R00000X Internal Medicine (Licence: PA MT199958) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2026-08-12 |