| NPI | 1306805064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 20321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.022657) |
| 208M00000X Hospitalist (Licence: WY 8202A) | |
| 208M00000X Hospitalist (Licence: ID M-10925) | |
| 208M00000X Hospitalist (Licence: MT 12390) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-10-18 |