| NPI | 1578979001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 67297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 71670) |
| 208M00000X Hospitalist (Licence: AZ 71670) | |
| 208M00000X Hospitalist (Licence: FL ME166161) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2024-02-16 |