| NPI | 1306238605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-05354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID O-1415) |
| 207R00000X Internal Medicine (Licence: IA DO-05354) | |
| 208M00000X Hospitalist (Licence: ID O-1415) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2022-07-21 |