| NPI | 1558522003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 64038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD447163) |
| 208M00000X Hospitalist (Licence: MN 64038) | |
| 208M00000X Hospitalist (Licence: MI 4301115459) | |
| 208M00000X Hospitalist (Licence: PA MD447163) | |
| 208M00000X Hospitalist (Licence: NY 268250) | |
| 208M00000X Hospitalist (Licence: WA 60849418) | |
| 208M00000X Hospitalist (Licence: WI 174-320) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-06-07 |