| NPI | 1760738678 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 46176) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 13620) | 
| 208M00000X Hospitalist (Licence: ND 13620) | |
| 207R00000X Internal Medicine (Licence: NE 6866) | |
| Enumeration Date | 2012-07-28 | 
| Last Update Date | 2025-09-23 |