| NPI | 1447223011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 46935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 46935) |
| 208M00000X Hospitalist (Licence: FL ME146030) | |
| 208M00000X Hospitalist (Licence: MN 44786) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-10-08 |