| NPI | 1043653108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 1822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018012249) |
| 207R00000X Internal Medicine (Licence: MA 266275) | |
| 208M00000X Hospitalist (Licence: IA DO-05253) | |
| 208M00000X Hospitalist (Licence: MO 2018012249) | |
| 208M00000X Hospitalist (Licence: MA 266275) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-11-14 |