| NPI | 1043519200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 319290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60397507) |
| 208M00000X Hospitalist (Licence: WA MD60397507) | |
| 208M00000X Hospitalist (Licence: VA 0101270830) | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2022-09-22 |