| NPI | 1821088709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 11566R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.1566R) |
| 207R00000X Internal Medicine (Licence: LA 11566R) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-03-02 |