| NPI | 1942466859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2009030096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009030096) |
| 207R00000X Internal Medicine (Licence: CA A125242) | |
| 208M00000X Hospitalist (Licence: CA A125242) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2025-09-17 |