| NPI | 1730289984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-01921) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2009-01921) |
| 208M00000X Hospitalist (Licence: NC 2009-01921) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-01-15 |