| NPI | 1073775532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A122014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P5199) |
| 207R00000X Internal Medicine (Licence: TN 50317) | |
| 207R00000X Internal Medicine (Licence: SC TL34447) | |
| 207R00000X Internal Medicine (Licence: CA a122014) | |
| 207R00000X Internal Medicine (Licence: NM MD2011-0624) | |
| 207R00000X Internal Medicine (Licence: VA 0101250440) | |
| 207R00000X Internal Medicine (Licence: WA 60264643) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2017-09-21 |