| NPI | 1548468754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2012-01337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29883) |
| 207R00000X Internal Medicine (Licence: VA 0101248029) | |
| 207R00000X Internal Medicine (Licence: NC 2012-01337) | |
| 208M00000X Hospitalist (Licence: VA 0101248029) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-12-29 |