| NPI | 1588754667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 56845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036084833) |
| 207R00000X Internal Medicine (Licence: WI 56845) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-10-31 |