| NPI | 1528226016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 47533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47533) |
| 207R00000X Internal Medicine (Licence: VA 0101249954) | |
| 207R00000X Internal Medicine (Licence: WA MD60848980) | |
| 208M00000X Hospitalist (Licence: VA 0101249954) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2023-11-07 |