| NPI | 1699960930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-02020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-02020) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 2023-02020) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2024-07-15 |