| NPI | 1619950680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-176424) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 13411) |
| 207R00000X Internal Medicine (Licence: NH 13411) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2025-10-06 |