| NPI | 1598761546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 042604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 042604) |
| 207R00000X Internal Medicine (Licence: CT 042604) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2023-03-07 |