| NPI | 1013981539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085785A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012031854) |
| 207R00000X Internal Medicine (Licence: UT 345091-1205) | |
| 208M00000X Hospitalist (Licence: UT 345091-1205) | |
| 208M00000X Hospitalist (Licence: WY 13438C) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-03-24 |