| NPI | 1386094944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 71428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 332443) |
| 207R00000X Internal Medicine (Licence: MI 4301116980) | |
| 207R00000X Internal Medicine (Licence: MI 4301110181) | |
| 207R00000X Internal Medicine (Licence: MI 4351033080) | |
| 208M00000X Hospitalist (Licence: WI 71428) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-05-09 |