| NPI | 1083974679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 68383-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2022-02679) |
| 207R00000X Internal Medicine (Licence: ND PT13876) | |
| 208M00000X Hospitalist (Licence: FL ME126005) | |
| 208M00000X Hospitalist (Licence: ND PT13876) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2023-01-08 |