| NPI | 1588008908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.153983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL001875) |
| 207R00000X Internal Medicine (Licence: OH 35.153983) | |
| 208M00000X Hospitalist (Licence: DC MD044347) | |
| 207R00000X Internal Medicine (Licence: AZ 78731) | |
| 208M00000X Hospitalist (Licence: MD D85866) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2026-05-28 |