| NPI | 1518149467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 164561) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 40933) |
| 207R00000X Internal Medicine (Licence: CA C164561) | |
| 207R00000X Internal Medicine (Licence: SC 32872) | |
| 207R00000X Internal Medicine (Licence: MN 74296) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA C164561) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2025-03-20 |