| NPI | 1144485798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N4297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.093064) |
| 208M00000X Hospitalist (Licence: WA MD60091381) | |
| 208M00000X Hospitalist (Licence: MO 2021042206) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2023-06-28 |