| NPI | 1851380430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9600675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME67869) |
| 208M00000X Hospitalist (Licence: NC 9600675) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-07-12 |