| NPI | 1427232354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 13540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO1452) |
| 208M00000X Hospitalist (Licence: NV DO1452) | |
| 208M00000X Hospitalist (Licence: ND 13540) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-07-21 |