| NPI | 1588639454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 130143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056559) |
| 207R00000X Internal Medicine (Licence: TN 54448) | |
| 208M00000X Hospitalist (Licence: NY 280848) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-04-05 |