| NPI | 1245325257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247847) |
| 207R00000X Internal Medicine (Licence: IN 01062573A) | |
| 207R00000X Internal Medicine (Licence: ND 10388) | |
| 208M00000X Hospitalist (Licence: ND 11910) | |
| 208M00000X Hospitalist (Licence: ND 10388) | |
| 208M00000X Hospitalist (Licence: IN 01062573A) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-20 |