| NPI | 1548311350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60448377) |
| 207R00000X Internal Medicine (Licence: MI 4301093328) | |
| 208M00000X Hospitalist (Licence: AZ 41933) | |
| 208M00000X Hospitalist (Licence: OR MD191089) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-07-03 |