| NPI | 1841266798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME87599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 065067) |
| 208M00000X Hospitalist (Licence: GA 065067) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-08-15 |