| NPI | 1902078439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA 40183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24543) |
| 207R00000X Internal Medicine (Licence: IA 40183) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-01-31 |