| NPI | 1235577511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 009478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID O-1043) |
| 208M00000X Hospitalist (Licence: ID O-1043) | |
| 208M00000X Hospitalist (Licence: MN 68372) | |
| 208M00000X Hospitalist (Licence: CO CDRH.0056260) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2024-07-02 |