| NPI | 1760621791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-04473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11367) |
| 207R00000X Internal Medicine (Licence: IA 4473) | |
| 208M00000X Hospitalist (Licence: IA DO-04473) | |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2024-09-26 |