| NPI | 1033550421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 29422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 29422) |
| 207Q00000X Family Medicine (Licence: IA MD-43770) | |
| 207Q00000X Family Medicine (Licence: NE 7117) | |
| 208M00000X Hospitalist (Licence: IA MD-43770) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2021-06-16 |