| NPI | 1649590886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 58803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-8118) |
| 208M00000X Hospitalist (Licence: AR E-8118) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2025-02-05 |