| NPI | 1518274638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 27446) |
| 207R00000X Internal Medicine (Licence: IA 41080) | |
| 208M00000X Hospitalist (Licence: IA 41080) | |
| 208M00000X Hospitalist (Licence: NE 27446) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2018-07-10 |