| NPI | 1033389150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 42841) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 42841) |
| 208M00000X Hospitalist (Licence: UT 10589829-1205) | |
| 208M00000X Hospitalist (Licence: NV 17533) | |
| 208M00000X Hospitalist (Licence: ID MC-0200) | |
| 208M00000X Hospitalist (Licence: CO CDR.0000046) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2019-08-28 |