| NPI | 1720072960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA 31146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-095139) |
| 207R00000X Internal Medicine (Licence: IA 31146) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2024-02-09 |