| NPI | 1760601694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD28675) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR LL15488) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-02-22 |