| NPI | 1982680286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 47046) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 47046) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2025-06-23 |