| NPI | 1093734667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 17894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200000170) |
| 207R00000X Internal Medicine (Licence: KY 42038) | |
| 208M00000X Hospitalist (Licence: NC 200000170) | |
| 208M00000X Hospitalist (Licence: IN 01060888A) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-11-16 |