| NPI | 1942475298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 10667A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.119810) |
| 208M00000X Hospitalist (Licence: IL 036119810) | |
| 208M00000X Hospitalist (Licence: WY 10667A) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-03-07 |