| NPI | 1720219637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 251415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251415) |
| 207R00000X Internal Medicine (Licence: WA MD61368375) | |
| 207R00000X Internal Medicine (Licence: TX S7490) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2025-06-17 |