| NPI | 1811063555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 32781) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 32781) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SD 8375) | |
| 208M00000X Hospitalist (Licence: ND 13588) | |
| 207R00000X Internal Medicine (Licence: SD 8375) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-09-08 |