| NPI | 1528158227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 35221) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200101093) |
| 208M00000X Hospitalist (Licence: KY 44676) | |
| 208M00000X Hospitalist (Licence: CO DR0051332) | |
| 207R00000X Internal Medicine (Licence: LA 311477) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 200101093) | |
| 207R00000X Internal Medicine (Licence: IN CV2005119) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-01-31 |