| NPI | 1023019304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 28270) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 68486) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-31282) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-3999) | |
| 208M00000X Hospitalist (Licence: LA 309292) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-01-24 |