| NPI | 1356536882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301114355) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101273776) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.092200) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301114355) | |
| 208M00000X Hospitalist (Licence: OH 35.092200) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2022-03-11 |