| NPI | 1992764591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2006-00305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 31138) |
| 207R00000X Internal Medicine (Licence: NC 200600305) | |
| 208M00000X Hospitalist (Licence: SC 31138) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-04-13 |