| NPI | 1295078491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD214777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD214777) |
| 207R00000X Internal Medicine (Licence: VA 0101259180) | |
| 207R00000X Internal Medicine (Licence: GA 076719) | |
| 208M00000X Hospitalist (Licence: AZ 55660) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-06-08 |