| NPI | 1598983678 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2010-00187)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00187)  | 
| Enumeration Date | 2007-04-23 | 
| Last Update Date | 2024-07-15 |