| NPI | 1003047457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-00538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49704) |
| 208M00000X Hospitalist (Licence: KY 49704) | |
| 208M00000X Hospitalist (Licence: TX S8533) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-05-24 |