| NPI | 1750498515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-02079) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301058013) |
| 208M00000X Hospitalist (Licence: NC 2008-02079) | |
| 208M00000X Hospitalist (Licence: NC 2008-152631) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-09-22 |