| NPI | 1275821076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 17869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A144017) |
| 207R00000X Internal Medicine (Licence: OR MD171068) | |
| 207R00000X Internal Medicine (Licence: WA MD60464673) | |
| 208M00000X Hospitalist (Licence: NV 17869) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2023-10-18 |