| NPI | 1659400943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 27974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 27974) |
| 208000000X Pediatrics (Licence: SC 27974) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-08-05 |