| NPI | 1053653576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A162785) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NV 18922) |
| 207P00000X Emergency Medicine (Licence: AZ 63680) | |
| 207R00000X Internal Medicine (Licence: DC MD044299) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NV 18922) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AR E-15968) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-07-31 |