| NPI | 1518257138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 17276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127788) |
| 207R00000X Internal Medicine (Licence: WA MD61032587) | |
| 208M00000X Hospitalist (Licence: CA A127788) | |
| 208M00000X Hospitalist (Licence: NV 17276) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-10-05 |