| NPI | 1073856019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 59974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 305464) |
| 207R00000X Internal Medicine (Licence: IN 01078521A) | |
| 208M00000X Hospitalist (Licence: ME MD24890) | |
| 208M00000X Hospitalist (Licence: TX Q7582) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-05-25 |