| NPI | 1033599113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H91163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02005429A) |
| 207R00000X Internal Medicine (Licence: PA OT016440) | |
| 208M00000X Hospitalist (Licence: OH 34013710) | |
| 208M00000X Hospitalist (Licence: WV 3386) | |
| 208M00000X Hospitalist (Licence: LA 311563) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-10-11 |